Catastrophic health expenditure incidence and its equity in China: a study on the initial implementation of the medical insurance integration system

Liu, Huan; Zhu, Hong; Wang, Jiahui; Qi, Xinye; Zhao, Miaomiao; Shan, Linghan; Gao, Lijun; Kang, Zheng; Jiao, Mingli; Pan, Lin; Chen, Ruohui; Liu, Baohua; Wu, Qunhong; Ning, Ning

doi:10.1186/s12889-019-8121-2

Table 4 The disintegration of H_cat inequality in integrated areas and non-integrated areas

From: Catastrophic health expenditure incidence and its equity in China: a study on the initial implementation of the medical insurance integration system

Integrated areas				Non-integrated areas
Variable	β	CI	Contribution (%)	Variable	β	CI	Contribution (%)
Hospitalized member ^***			−42.48	Hospitalized member^***			−44.00
Yes	0.946	0.096		Yes	0.881	0.099
No	Reference			No	Reference
Chronic disease member ^***			−4.85	Chronic disease member^***			−9.64
Yes	0.396	0.015		Yes	0.434	0.029
No	Reference			No	Reference
Member > 60 years of age ^***			19.32	Member > 60 years of age ^***			12.99
Yes	0.259	−0.098		Yes	0.233	− 0.073
No	Reference			No	Reference
Member < 5 years of age		− 0.014	0.15	Member < 5 years of age			− 0.60
Yes	0.039			Yes	−0.042	− 0.050
No	Reference			No	Reference
Preferred medical institution			3.46	Preferred medical institution ***			−12.23
Primary medical institutions	0.040	−0.070		Primary medical institutions	−0.113	− 0.076
Non-primary medical institutions	Reference			Non-primary medical institutions	Reference
Household income			13.38	Household income			23.83
Quintile I (Poorest)	Reference			Quintile I (Poorest)	Reference
Quintile II	0.032	−0.400		Quintile II	−0.037	− 0.399
Quintile III	−0.035	0.000		Quintile III ^**	−0.088	0.001
Quintile IV	−0.067	0.400		Quintile IV ^**	−0.113	0.401
Quintile V (Richest)	−0.002	0.800		Quintile V (Richest)	− 0.054	0.801
Household size			7.01	Household size			1.57
≤ 2 ^***	0.788	− 0.026		≤ 2 ^***	0.646	−0.019
3–4 ^***	0.347	0.038		3–4 ^***	0.294	0.039
≥ 5	Reference			≥ 5	Reference
Sex			1.22	Sex			2.70
Men ^***	0.095	−0.012		Men ^***	0.120	−0.019
Women	Reference			Women	Reference
Marital status			2.34	Marital status			3.90
Unmarried and other ^**	−0.066	0.025		Unmarried and other ^**	−0.091	0.029
Married	Reference			Married	Reference
Educational attainment			45.47	Educational attainment			33.41
Illiterate	Reference			Illiterate	Reference
Primary school ^***	−0.180	−0.181		Primary school ^***	−0.213	− 0.183
Junior high school ^***	−0.346	−0.003		Junior high school ^***	−0.321	0.007
High school and above ^***	−0.486	0.317		High school and above ^***	−0.401	0.327
Occupation			9.16	Occupation			−7.06
Employed ^***	−0.367	0.006		Employed ^***	−0.394	−0.029
Retired ^**	−0.139	0.156		Retired ^*	−0.091	0.283
Other	Reference			Other	Reference
Location of residences			−0.39	Location of residences			4.30
Eastern ^***	0.045	0.045		Eastern ^***	−0.109	0.080
Middle ^***	−0.126	−0.126		Middle ^***	−0.186	0.000
Western	Reference			Western	Reference
Residence			18.55	Residence			23.88
Urban	Reference			Urban	Reference
Rural ^***	0.127	−0.194		Rural ^***	0.148	−0.189
Medical insurance			29.89	Medical insurance			60.73
UEBMI	0.117	0.232		UEBMI ^***	−0.262	0.354
USBMI	−0.185	0.303		URBMI	−0.006	−0.016
URRBMI ^*	0.205	−0.191		NRCMS	0.105	−0.195
Mixed medical insurance	−0.165	0.357		Mixed medical insurance	−0.140	0.252
Uninsured and other	Reference			Uninsured and other	Reference

CI concentration index, UEBMI Urban Employee Basic Medical Insurance, URBMI Urban Resident Basic Medical Insurance, NRCMS New Rural Cooperative Medical Scheme, URRBMI urban and rural residents’ basic medical insurance system, USBMI Universal Social Basic Medical Insurance
* p < 0.05; ** p < 0.01; *** p < 0.001

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ISSN: 1471-2458

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